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Individual

MS. KATHERINE ANN MEDVED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
17295 W CAPITOL DR, BROOKFIELD, WI 53045-2004
(262) 373-1080
(262) 373-1083
Mailing address
17295 W CAPITOL DR, BROOKFIELD, WI 53045-2004
(262) 373-1080
(262) 373-1083

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9988-40
WI
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
9988
WI

Other

Enumeration date
12/09/2014
Last updated
01/12/2020
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